Manual of Election Law_Volume II - Home: Chief Electoral Officer ...

ÉÊxÉ´ÉÉÇSÉBÉE ®ÉÊVɺ]ÅÉÒBÉE®hÉ ÉÊxɪÉàÉ, 1960
(BÉEÉxÉÚxÉÉÒ ÉÊxɪÉàÉ +ÉÉè® +ÉÉnäÉ)
45
FORM 8
[See rules 13(3) and 26]
Application for correction to particulars entered in electoral roll
To
The Electoral Registration Officer,
------------------------------Assembly/Parliamentary £ constituency.
Sir,
I request that entry relating to myself appearing in the electoral roll for the above constituency is
not correct and it should be corrected. Correct particulars in support of my request are given below:-
I. Applicant’s details
Name
Surname (if any)
Part number of electoral roll:
Serial number in that part:
Age as on 1 st January………. # Years: Months: Sex (male/female):
Date of birth, if known: Day: Month: Year:
* Father’s
Name
Surname (if any)
Mother’s Name
Husband’s
II. Particulars of place of ordinary residence (Full address):
House / Door number:
Street/ Area/Locality/Mohalla/ Road:
Town / Village:
Post Office:
Pin Code:
Tehsil/Taluka/Mandal/Thana:
District:
III. Details of Electors’ photo identity card (if issued, in this or some other constituency)
Electors’ photo identity card number:
Name of the constituency:
IV. Details of entries to be corrected:
* My name/ * Age/ * Father’s/Mother’s/Husband’s name/ * Sex/Address/ * Electors’ photo identity card
number may be corrected in terms of information provided in this Form above.
Place:
Date:
Signature or thumb impression of the elector
Note.- Any person who makes a statement or declaration which is false and which he either
knows or believes to be false or does not believe to be true, is punishable under section 31 of the
Representation of the People Act, 1950 (43 of 1950).
£ in case of Union territories having no Legislative Assembly and the State of Jammu and
Kashmir.
# Please give the year i.e. 2002, 2003, etc.
* Strike out the inappropriate alternative.
…………………………………………(Perforation)……………………………………………….